Organization
AVALON PROGRAMS, LLC
Active
Other names
Avalon - Aitkin
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LINDEMAN (DIRECTOR - REVENUE CYCLE MGMT)
(612) 326-7566
Entity
Organization
Contact information
Practice address
3 3RD STREET NE, AITKIN, MN 56431
(218) 927-6417
(218) 927-6723
Mailing address
550 MAIN ST, STE 230, NEW BRIGHTON, MN 55112-3271
(612) 326-7600
(651) 631-3221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1034492
MN
324500000X
Substance Abuse Rehabilitation Facility
1034492-2-CDT
MN
Other
Enumeration date
03/15/2007
Last updated
09/15/2008
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